Reimbursement Policy Update for June 1, 2022
Reimbursement Policy | Revision |
|---|---|
| Add-On Codes (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Anesthesia, Professional And Facility (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Bundling Guidelines (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Co-Surgeon, Assistant Surgeon, Team Surgeon And Assistant-At-Surgery Guidelines (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Consistency Guidelines (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Diagnosis Validity & Code Guidelines (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Evaluation And Management Services (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Facility Billing Guidelines (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Global Surgery (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Immunization Guidelines (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Maximum Units Of Service (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Multiple Cardiovascular, Radiology, And Ophthalmology Services (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Modifier Guidelines (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| NCCI Editing (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Observation (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Once In A Lifetime (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Outpatient Code Editor (OCE) Edits (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Partial Hospitalization And Intensive Outpatient Programs (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Place Of Service (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Preadmission And Preoperative Services (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Pricing And Adjudication Principles (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Revenue Codes Requiring Procedure Codes, Facility (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Split Surgical Package (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Status Codes (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Supply and Equipment Reimbursement (PDF) | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
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